Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.89 / $899.89 / $4,338.00	Facility		$899.89	$899.89	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.45 / $925.22 / $925.22	Professional		$843.45	$925.22	$925.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,152.77 / $2,227.44 / $2,784.31	Professional		$2,152.77	$2,227.44	$2,784.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,206.13 / $1,520.81 / $2,534.42	Facility		$1,206.13	$1,520.81	$2,534.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,116.61 / $1,868.78 / $10,000.00	Professional		$1,116.61	$1,868.78	$10,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,450.26 / $2,459.75 / $3,081.56	Facility		$1,450.26	$2,459.75	$3,081.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,522.00 / $2,194.31 / $2,675.81	Professional		$1,522.00	$2,194.31	$2,675.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,201.35 / $1,657.95 / $1,950.40	Professional		$1,201.35	$1,657.95	$1,950.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.61 / $1,861.04 / $2,661.09	Professional		$1,116.61	$1,861.04	$2,661.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,900.80 / $2,236.19 / $2,325.69	Professional		$1,900.80	$2,236.19	$2,325.69